| NPI | 1346724325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E. MOORE-MORRIS Member/Agent 731-363-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |